Bagnall, Jane R

Bagnall, Jane R is an individual health care provider with primary practice located at 209 Center St , Chardon OH 44024-1189. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bagnall, Jane R can be contacted via phone (440) 205-2670.

Contact Information

Primary practice address
209 Center St Chardon OH 44024-1189
Phone: (440) 205-2670
Fax: (440) 285-8543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 0001422 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA181590 Ohio

Profile Details

NPI number 1366091092
LBN Legal business name Bagnall, Jane R
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2019
Last updated Dec 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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